Organization Active NPI

Pioneer Valley Performing Arts Charter School

  • Local Education Agency (LEA)
  • South Hadley, MA
National Provider Identifier
1720209497
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
PIONEER VALLEY PERFORMING ARTS CHARTER SCHOOL
Practice address
15 Mulligan Dr
South Hadley, MA 01075-7511
Phone
(413) 552-1580
Fax
(413) 552-1594
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charles Hopkins
Title
Director of Special Education
Phone
(413) 552-1591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

15 Mulligan Dr
South Hadley, MA 01075-7511

Mailing address

15 Mulligan Dr
South Hadley, MA 01075-7511
Phone (413) 552-1580

Other identifiers 1

IdentifierTypeStateIssuer
1955721MedicaidMA

National Provider Directory

National Provider Directory

Locations

15 Mulligan Dr
South Hadley, MA 01075
Phone (413) 552-1580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720209497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MULLIGAN DR",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010757511",
            "telephone_number": "413-552-1580",
            "fax_number": "413-552-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MULLIGAN DR",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010757511",
            "telephone_number": "413-552-1580",
            "fax_number": "413-552-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER VALLEY PERFORMING ARTS CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "413-552-1591"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955721",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hadley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.